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OHANA FAMILY PRACTICE LLC - Florida Company Profile

Company Details

Entity Name: OHANA FAMILY PRACTICE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

OHANA FAMILY PRACTICE LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 04 Apr 2023 (2 years ago)
Document Number: L23000167206
FEI/EIN Number 923450601

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 8255 N Wickham Rd Suite 100, Melbourne, FL, 32940, US
Mail Address: 8255 N Wickham Rd Suite 100, Melbourne, FL, 32940, US
ZIP code: 32940
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1366210973 2023-12-13 2023-12-13 8255 N WICKHAM RD STE 100, MELBOURNE, FL, 329408202, US 8255 N WICKHAM RD STE 100, MELBOURNE, FL, 329408202, US

Contacts

Phone +1 321-473-6292
Fax 3216004246

Authorized person

Name KATIE LOU SHOUPPE
Role OWNER
Phone 3214736292

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Key Officers & Management

Name Role Address
SHOUPPE VICTOR F Manager 4145 PONDEROSA RD, MALABAR, FL, 32950
SHOUPPE KATIE L Agent 4145 PONDEROSA RD, MALABAR, FL, 32950

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-10-04 8255 N Wickham Rd Suite 100, Melbourne, FL 32940 -
CHANGE OF MAILING ADDRESS 2023-10-04 8255 N Wickham Rd Suite 100, Melbourne, FL 32940 -

Documents

Name Date
ANNUAL REPORT 2024-02-18
Florida Limited Liability 2023-04-04

Date of last update: 02 Mar 2025

Sources: Florida Department of State